TOMAS FOSTER
Dependent on policy B08M000819
Claims
3
Attributed to this person
Charged
1,269.00
Total submitted
Denied
178.00
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | TOMAS FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000819 |
| Date of birth | 24 Mar 1988 |
| Plan | BRONZE EPO |
| Covered from | 26 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003665 | 13 May 2026 | 376.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003664 | 25 Dec 2025 | 715.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003663 | 12 Sep 2024 | 178.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 178.00 |